Agricultural Research Council

AGRICULTURAL RESEARCH COUNCIL

SUPPLIER REGISTRATION FORM

TO BE COMPLETED BY POTENTIAL SERVICE PROVIDERS SEEKING REGISTRATION ON THE ARC’S CORPORATE SUPPLIER DATABASE

Notes:

1. This questionnaire must be completed in full. If you are unable to complete specific sections or not be prepared to divulge certain information required, kindly advice reasons in a covering letter when returning this questionnaire. Failure to comply may result in the application not being considered.

1. If called upon arrangements must be made for officials of the Agricultural Research Council (ARC) to inspect the company’s premises and documents to assess the technical competency before the company is accepted.

1. It should be noted that if any information supplied be found to be incorrect, the ARC reserves the right to exclude the Supplier from the Supplier Database at any time prior to or after acceptance.

1. When completed this questionnaire should be forwarded to any of the ARC Institutes listed in addendum A of this document. The ARC Head Office details are:

The Senior Manager: SCM The Senior Manager: SCM

Agricultural Research CouncilAgricultural Research Council

PO Box 87831134 Park Street

PretoriaHatfield

0001Pretoria

1. It should be noted that the ARC reserves the right to accept or reject any application without being obliged to give reasons in this respect.

1. It is the responsibility of the Supplier to inform the ARC of any changes in respect of the company’s details.

1. Information provided will be treated as confidential.

1. Thank you for your interest in ARC

SECTION A: COMPANY DETAILS

1. Title (Prof / Dr / Mr / Mrs / Ms) and Surname

______

1. Company Name

______

______

1. Trading Name

______

______

1. Company Registration Number: ______

1. VAT Registration Number:______

1. Tax Clearance Certificate Number:______

1. Tax Clearance Expiry Date:______

1. Income Tax Reference Number:______

1. Company Contact Person:______

1. Tel No. ______Fax No: ______

1. Mobile no.______
2. E-mail: ______

1. Company website address:

SECTION B: BANKING DETAILS

Please attach an original cancelled cheque or bank stamp verifying details.

Bank: ______Branch Code:______

Branch Name: ______

Account Holder: ______

Bank Account No:______

Account Type:______

Please note that it is the responsibility of the supplier to inform ARC, in writing, of any changes to the banking details.

Other Contact Details:

Sales:Accounts:

Contact Person: ______Contact Person: ______

Tel no: ______Tel no: ______

Fax no: ______Fax no: ______

E-mail: ______Email: ______

Postal Address:______

______

______Code: ______

Physical Address:______

______

______

______

Code: ______

SECTION C: COMPANY OWNERSHIP

Suppliers are required to submit a certified copy of a BBBEE certificate or the Original BBBEE certificate issued by a SANAS approved BBBEE certification agency or IRBA registered Auditors to be allocated BBBEE points.

Suppliers making a total revenue of less than R5 000 000.00 a year may submit a letter from an accountant or auditor stating the BBBEE status of the supplier. The letter must have the accountant’s or auditor’s practice number,

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ARC Supplier Registration Form

LIST OF ALL OWNER/S, BOARD MEMBER/S AND SHAREHOLDER/S

Title / Initials / Surname / ID No / Race / Gender
(M / F) / Disability
(Yes / No) / % Share Owned

Attach registration documents and shareholder agreements

LIST OF ALL INDIVIDUALS RESPONSIBLE FOR THE DAILY MANAGEMENT AND BUSINESS DECISIONS

Title / Initials / Surname / Race / Gender
(M / F) / Disability / Position / Designation

Attached separate list of necessary

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ARC Supplier Registration Form

AGRICULTURAL RESEARCH COUNCIL

LIST OF COMMODITIES

GENERAL COMMODITIES

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ARC Supplier Registration Form

COMMODITY GROUPS AND SUB-COMMODITY GROUPS / 
ADMINISTRATIVE SERVICES
Asset Management Services
Data Archiving Services
Debt Collection
Payroll Services
Posting and Courier Services
Stock Taking
ADVERTISING
Newspaper Advertising
Radio Advertising
ARTWORK AND PAINTING
BUILDING, CONSTRUCTION AND MAINTENANCE SERVICES
Air conditioning installation, maintenance and repair services
Blinds and shades
Boreholes
Bricklaying
Building Hardware
Bulk supplies: Concrete, Bricks, Cement, Sand, Stone, Rocks
Burglar Proofing
Carpentry
Carpet installation and maintenance
Concrete Fencing
Dam, Reservoir, Water Towers service, maintenance and repairs
Damp proofing
Electrical fencing installation, maintenance and repairs
Electrical Services
Electrical Supplies
Excavation Services
Fencing
Flooring Specialist
General Building construction
Glasshouse repairs and maintenance
Grounds maintenance services
Heavy duty Precast walling
Interior finishing
Lifts (installation, commissioning and maintenance)
Locksmith Services
Marble, stone or tile installation
Paint supplies
Painting and wall paper
Partitioning and Dry walling
Plumbing system service, maintenance and repair
Plumbing supplies and hardware
Powder Coating
Rigging Services
Road works
Roof Services, maintenance and repairs
Shade net
Stainless Steel Suppliers
Steel Suppliers
Street light service, maintenance and repairs
Thatching
Waterproofing
CAMPING EQUIPMENT AND SUPPLIES
CATERING
Catering equipment hire and décor
Catering Services
CLEANING AND LAUNDRY SERVICES
Cleaning chemicals and supplies
Cleaning Equipment
Cleaning services
Laundry services
COMPUTER SERVICES, HARDWARE AND SOFTWARE
Computer cable installation and maintenance
Computer Equipment and maintenance
Computer Network installation and maintenance
Data Management Services
Information retrieval systems
Internet Services
Management Information systems MIS
Software
Software installation, maintenance and support
Uninterrupted Power Supply (UPS) supply, maintenance and service
CONFERENCE, TRAVEL AND ACCOMMODATION
Accommodation
Conference and meeting facilities
Travel Agency
CORPORATE IMAGE
Corporate Clothing
Corporate Gifts
Embroidery
Promotional Items
CYCLE
Cycle repairs
Cycle Spares
Cycle supply
EDUCATION AND TRAINING SERVICES
Educational Facilities
Educational Institutions
Occupational Health and Safety Training
Research Services
Specialised Educational Services
Training
Vocational training
EMERGENCY MEDICAL SERVICES AND FIRST AID KITS
ENGINEERING SUPPLIES
ENVIRONMENTAL SERVICES
Environmental Impact Assessment
Environmental Management
Environmental Protection
ISO 14001 Compliance Evaluation and Implementation
Pollutants tracking, monitoring and rehabilitation services
EVENT MANAGEMENT
Event Management Services
Sound and Music System / Equipment hire
FARM EQUIPMENT
Farm equipment service, maintenance and repairs
Farm equipment spares
Farm equipment tyres
Farm Equipment Trailer supply, service, maintenance and repairs
FINANCIAL SERVICES
Audit services
Insurance Services
Taxation
FIRE PROTECTION SUPPLY, INSTALLATION AND MAINTENANCE
Fire Detecting systems
Fire extinguishers
Fire Hydrants
Sprinklers
FLORISTS
FRUIT
Apples and pears: Pre and optimum
Grapes
Organic Grapes
Other Fruit
FUEL AND COMBUSTION SUPPLIES
Coal and Wood supply
Gas
Lubricants
Petrol / Diesel / Oil / Paraffin
GARDENING AND IRRIGATION
Gardening services
Gardening supplies and equipment
Irrigation services
Irrigation supplies and equipment
Interior Plantscaping
Landscaping
Lawn
GENERATORS AND TRANSFORMERS SUPPLY, SERVICES AND MAINTENANCE
GLASS AND ALUMINIUM
Aluminium
Glass supplies
HUMAN RESOURCE SERVICES
Human Resource and Human Resource Development Consulting
Industrial Relations
Labour training or development
Labour Broking services
Personnel Recruitment
Temporary personnel services
KITCHENWARE AND SUPPLIES
Electrical Appliances
Kitchen supplies
LEGAL SERVICES
Civil Litigation
Competition Law
Contractual Law
Corporate Law
Environmental Law
Intellectual Property Law
Labour Law
Labour Relations Law
Local Government Law
Patent Rights
Taxation Law
OFFICE EQUIPMENT, ACCESSORIES< SUPPLIES AND MAINTENANCE
Audio visual equipment, supply, installation and maintenance
Office and desk accessories
Office machine maintenance
Office machine and their supplies and accessories
Purified water and Water Dispensers
OFFICE FURNITURE
PACKAGING
PEST CONTROL AND FUMIGATION SERVICES
PHOTOGRAPHIC AND VIDEO SERVICES
Photographic services
Transcribing services
Translation services
Video services
PRINTING AND CREATIVE DESIGN SERVICES
Design and layout
Maps
Printing services (including pamphlets, brochures, annual reports and newsletters)
Reproduction services (includes photocopying and binding)
Signage and accessories
PROFESSIONAL SERVICES
Architects
Attorneys
Auction services
Civil Engineering
Corporate objectives or policy development
Electrical Engineering
ERP Services
Information Technology consulting services
Land surveying
Marketing and Communication services
Mechanical Engineering
Occupational Health and Safety Services
Project Management
Quantity Surveying
Strategic Planning consultation / facilitation services
Survey
Town Planning
PROTECTIVE CLOTHING
PUBLICATIONS
Books and publications
Layout and design of Corporate publication
Newspaper and magazine subscriptions
REFRIGERATION AND COLD ROOMS
Refrigeration and cold room supplies
Refrigeration and cold room service, maintenance and repairs
SAFETY EQUIPMENT
Safety equipment supplies
Safety equipment service, maintenance and repairs
SECURITY AND SURVEILANCE SERVICES
Access Control
Armed Response Services
Building Monitoring Services
Cash-in-transit services
Guard Services
Locks and security hardware and accessories
Security system services
Surveillance, monitoring and detection equipment
Vehicle Tracking equipment and services
SPORTS
Sport Attire
Sport Equipment and accessories
STATIONERY AND COMPUTER CONSUMABLES
TELECOMMUNICATIONS
Analogue telephones
Answering services
Cell Routers
Digital enhanced cordless telecommunication DECT cordless phones
Digital telephones
Mobile phones
Telecommunication maintenance
Telecommunication supply and maintenance
TRAINING
Agricultural Training
Financial Management Training
IT Training
Other Training
TRANSPORTATION
Furniture removal
Logistics services
Transport services
VEHICLE HIRE
Chartered bud services
Shuttle services
Vehicle leasing
Vehicle rental
Trailer hire
VEHICLE SUPPLY, MAINTENANCE AND REPAIRS
Panel beating
Vehicle service, maintenance and repairs
Vehicle tyres
Vehicle spares
Vehicle fitment centres
Trailer supply, service, maintenance and repairs

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ARC Supplier Registration Form

RESEARCH COMMODITY

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ARC Supplier Registration Form

COMMODITY GROUPS AND SUB-COMMODITY GROUPS / 
ANALYTICAL INSTRUMENTS SUPPLIES
Balances
Chromatography
Spectrometry
Refractometers
Thermal Analysis
X-Ray Analytical
pH Meter
BIOTECH / LIFE SCIENCE INSTRUMENT SUPPLIES
Biotechnology
Cell Counters
DNA Sequencers
Electrophoresis
Fermenters / Bioreactors
Flow Cytometers
Hydridisation Ovens / Incubators
Microplate Dispensers
Microplate Readers
Microplate Washers / Handlers
PCR / Thermal Cycler
RNA / Technology
Real-Time PCR
CLINICAL LAB INSTRUMENT SUPPLIES
Blood/Cell
Blood/Gas Analyzers
Chemistry Analyzer (Clinical)
Clinical Lab – Misc.
Coagulation Analyzer
Electrolyte Analyzers
HematologyAnalyzers
Histology/Pathology – Other
Microscopes – Clinical
GENERAL INTEREST
Books/Manuals
GLASSWARE
Beakers
Bottles
Condensers / Distillation
Desiccators
Flasks
Funnels
Glass Washers/ Dryers
Glassware – Other
Quartz Glass
Test Tubes
Vials
HISTOLOGY/ PATHOLOGY
Cover slippers
Cryostats
Embedding Centres
Histology/Pathology – Other
Microtomes
Slide Stainers
Tissue Processors
IMAGE ANALYSIS
Frame Grabbers & Cameras
Image Analysis
LAB EQUIPMENT
Animal Care/ Veterinary
Autoclaves/ Sterilizers
Baths/ Circulators
Biological Safety Cabinets
Block Digesters
Centrifuges
Micro-centrifuge
Chillers
Clean rooms
Cryogenics
Dissolution Testing
Environmental Chambers
Environmental Growth Chambers
Evaporators
Flowmeters
Forensic Lab Equipment
Fraction Collectors
FreezeDry/ Lyoph
Freezers/ Fridges
Furnaces
Furniture – Lab
Gas Generator
Gas Handling
Glass Washers/ Dryers
Glove Boxes
Heating Mantles
Homogenizers
Hoods
Hoods – Laminar Flow
Hot Plates
Incubators
Lasers – Lab
Leak Detectors
Liquid Handling
Metallurgical
Microwave Digesters
Mills/ Grinders
Mixers
Mobile Lab
Office Equipment
Optics
Other
Ovens
Overhead Stirrers
Petroleum Lab
Pharmaceutical – Misc.
Photography
Pilot Plant
Pipette Tips
Pipettes
Pumps
Radioactivity
Recorders
Regulators
Robotics
Safety Equipment
Sample Preparation
Scales
Shakers
Sieves & Sieve Shakers
Solvent Purification
Stirrers
Temperature Monitoring
Ultrasonic
Vacuum Equipment
Water Purification
LAB SUPPLIES
Apparel – Lab
Chemicals
Cuvettes
Filtration Supplies
Gases – Specialty/ Calibration
Lamps
Plasticware
Porcelain
Supplies and Labware
Valves/ Fittings
MICROSCOPES
Electron Microscope
Microscope Accessories
Microscopes
Microscopes – Clinical
Microscopes – Surgical
SOFTWARE
Analysis Software
Data Management
Informatics
LIMS
Software - Other

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ARC Supplier Registration Form

Choose a maximum of two categories of goods and / or services you want to be listed under,(You may list categories of goods / services that are not listed in the database registration form)

PROVIDE AT LEAST THREE REFERENCES RELATED TO YOUR CORE BUSINESS (IF APPLICABLE)

Client / Contact Person / Contact Number / e-mail address / Contract Value

I, ……………………………………………………………… (print name) hereby certify that the information, facts and representatives are correct and that I am duly authorised to sign on behalf of the company.

______

SIGNATUREDATE

Please attach the following documents:

 / Description of documents

• Valid original Tax Clearance Certificate

• Company registration document

• Broad-Based Black Economic Empowerment Certificate certified as true copy of the original (if applicable)

• SETA and / or AgriSETA Registration Information (if applicable)

• Relevant accreditation in terms of OHS Act and other regulatory bodies as required by specific commodities (if applicable)

• Company Profile

• Copy of ID(s) of owners / Directors

• SBD 4

• SBD 8

• SBD 9

ADHERENCE TO THE ARC’S CODE OF ETHICS

1. INTRODUCTION

This statement forms part of the Agricultural Research Council’s “Ethics and Fraud Prevention strategy”. It sets out the tone, culture and expectations of the ARC in promoting a policy of fair dealing and integrity in the conduct of business and the countering of fraudulent activities.

1. POLICY

2.1The ARC’s vision is to provide Excellence in Agricultural Research and Development.

2.2The ARC will do everything possible to promote honesty, integrity and to adhere to all applicable laws in everything it does and is committed to the prevention, deterrence, detection and investigation of all forms of non-adherence to policies, laws and the Code of Ethics.

2.3ARC Council members, Audit Committee members and employees at all levels are expected to adopt the highest standards of propriety and accountability. These standards are also expected from organisations that the ARC deals with such as suppliers, contractors, customers, partners, etc.

2.4If it is established that suppliers, contractors, customers and partners have engaged in corrupt, dishonest, fraudulent activities or have contravened the supply chain policy of the Code of Ethics in competing or executing the contract awarded, the ARC will immediately terminate the contract. Any supplier, contractor, partner or officer representing any of the entities if found guilty of any of the above they will be declared ineligible to supply goods, works and services to the ARC under any programmes or projects managed and administered by the ARC on behalf of its clients.

2.5The ARC can in its sole judgement proceed to pursue any legal remedies available.

1. CULTURE

3.1Adherence to laws, policies and procedures, the prevention and detection of fraud and corruption and the protection of ARC’s assets is every stakeholder’s responsibility.

3.2Council members, Audit Committee members, all employees are expected to carry out their duties to the best of their ability for the benefit of the ARC and not to take advantage of any situation for personal gain, for themselves, members of their family or friends.

1. CODE OF ETHICS AND FRAUD PREVENTION STATEMENT

4.1Members of the public, suppliers, contractors and partners are expected to act with integrity in their business dealings with the ARC and not to behave dishonestly to the detriment of the ARC.

4.2The ARC has set up a secure and confidential framework, within which any employee, member of the public, suppliers, contractors, partners are encouraged to raise concerns if they know of or suspect that the following is about to occur or has occurred:

• Fraud;

• Corruption;

• Abuse of assets;

• Irregular transaction are taking place;

• Fruitless expenditure has been incurred;

• Endangering of an individual’s health and safety;

• A violation of applicable laws, rules, policies or regulations of the Code of Ethics.

4.3The ARC will ensure that any allegations received are taken seriously and investigated in an appropriate manner.

4.4The ARC will deal firmly with those who act dishonestly. Following proper investigation, appropriate disciplinary action and / or criminal proceedings will be instigated.

4.5Suppliers, contractors and partners acknowledge that they have read and understood relevant sections of the Code of Ethics policies, procedures and laws applicable to them.

4.6Stakeholders who wish to remain anonymous when raising concerns are encouraged to use the following secure hotline:

Free Call Telephone Number:0800 000 604

Free Call Facsimile Number:0800 007 788

E-mail:

“Please call me” number:32840

Tip-offs anonymous url:

No-one will be subjected to retaliation for good faith reporting of a suspected violation.

4.7Concerns can only be adequately investigated if all relevant facts concerning the issue being reported are disclosed. Stakeholders are encouraged to provide relevant facts including supporting documentation of available.

I, the undersigned ……………………………………………………………………………………………. in my capacity as an authorised representative of ……………………………………………………… registration number …………………………………………………………………………………………

HEREBY ACKNOWLEDGE:

1. That I have been explicitly informed of and consequently an fully aware of the fact that:

a)I must adhere to sections of the ARC Code of Ethics, supply chain policy and laws that apply to me as a supplier or contractor;

b)I will report to the ARC any violations and contraventions of its Code of Ethics, policies, procedures that I may become aware of;

c)Failure to adhere to (a) and (b) above will result in the cancellation of my contract with the ARC and the ARC in its sole judgement may pursue any other legal action it deems appropriate.

NAME(s): (BLOCK LETTERS) ……………………………

.…………………………..

CAPACITY of authorised agents: …………………………………………………………………

SIGNATURE(s) of authorised agents: ……………………………

……………………………

SIGNED AT ………………………………. on this ………… day of ………………………………..……

WITNESSES: (Full name – BLOCK LETTERS – and signature)

1. ………………………………………… ………………………………………..

2. ………………………………………… ………………………………………...